Larry77

Larry77 RN

Trauma/ED

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All Content by Larry77

  1. Reading TB skin test

    Larry77 replied to memphispanda's topic in General Nursing

    At the hospital I work in the reading of our PPD tests are sort of a joke for us nurses because we as RN's are not allowed to read these tests on employees we are required to go to a clinic and have...

  2. I got written up and it's bringing me down

    Larry77 replied to porterwoman's topic in General Nursing

    My own personal rule of thumb is, if it has absolutely nothing to do with the surgery done or to be done then call the PCP (if named, sometimes is not). 9/10 we call the on call surgeon. There is...

  3. How Does Your Unit Handle Vacation Time?

    Larry77 replied to RN-PA's topic in General Nursing

    Our formula is figured with each our worked you get a certain amount of time paid off which goes up with years worked. Mine comes out to about 30 days a year after 5 years experience. I think it's...

  4. CNA's in control

    Larry77 replied to FlorentineBird's topic in General Nursing

    Seems that they don't respect you...I worked in a nursing home while I was an LPN and my CNA's were wonderful. Yes I had to set limits a few times but doing it camly in private alowing them to think...

  5. Does your floor have an RN to patient ratio?

    Larry77 replied to DutchgirlRN's topic in Medical-Surgical

    We are usually 6-7 per nurse...never more than 7 and if you start out with 5 you can count on at least one maybe two admits. We work with a CNA and the charge nurse signs off all the MD orders....

  6. Meds?

    Larry77 replied to Kimberleighsue's topic in First Year After Licensure

    I know I'm not really answering your question but just so you know, you will learn all the meds you give regularly very quickly. It won't be a couple weeks and you'll know at least what they are for...

  7. Let's talk TRASH! Useless, outdated, OLD equipment or supplies on your unit, that is!

    Larry77 replied to UM Review RN's topic in General Nursing

    We have laptops that we use for all our charting...well that we are supposed to use...they hardly every work...grrrrr Our thermometer's stink..they take forever and often give an error...

  8. Which watch is best?

    Larry77 replied to mcknis's topic in Scrubs, Uniforms, Gear

    One of the nurses at work has a Nike watch that is digital but has seconds counting int he background in huge numbers...might be something to consider...I have no idea how much they run though. Take...

  9. Shadowing as a good way to find out about nursing as a career

    Larry77 replied to mattfromBerkeley's topic in Men in Nursing

    Shadowing might be difficult to do because of the legalities...you would have to get a background check and even possibly a drug test depending on the facility. You would probably have an easier time...

  10. Tips for IV starts

    Larry77 replied to asilmk's topic in First Year After Licensure

    Hope I'm not repeating someone but I've always found on a difficult stick using a blood pressure cuff as a tourniquet inflated enough to prevent venous return but not to inhibit arterial blood flow,...

  11. Veins

    Larry77 replied to vanna86's topic in First Year After Licensure

    Simple answer...veins dilate not really raise...they fill with more blood by relaxing from the heat...hmm..not sure if this helps you... I often use a hot pack on difficult IV starts...it

  12. WHat floors are more fun/social??

    Larry77 replied to ER1010's topic in General Nursing

    Just a little hope for ya...I know a couple people that did NOT fit in at all where I work but they stuck it out and pretty soon most of the people they worked with directly really learned to love the...

  13. Public Breastfeeding

    Larry77 replied to MarySunshine's topic in General Nursing

    This just happened to me the other day...I was in a pt's room hanging IV fluids I think then when I turned around to leave the room there was the spouse of my pt breast feeding right out in the...

  14. Need help on stethoscopes!

    Larry77 replied to mcknis's topic in General Nursing

    Scott, It really comes down to a few key things...personal preference, use intended, and funds available: -I advise you to go and play with some at a uniform shop or somewhere that has a good...

  15. Student cath question

    Larry77 replied to bethem's topic in General Nursing

    In our state we often replace them once they are established. Usually for the first few times the urologist replaces the suprapubics increasing in size each time until the stoma is established....

  16. What to wear?

    Larry77 replied to IcantThinkofaName's topic in First Year After Licensure

    More important than what you wear is how you present yourself. Try to display confidence etc but not as a "know it all"...managers tend to be turned off by that. How you dress will not get you the...

  17. WHat floors are more fun/social??

    Larry77 replied to ER1010's topic in General Nursing

    One, just because some nurses may like to have "fun" at work does not mean that they are partiers--I for one love to have a good time at work but this is with my patients just as much as with my...

  18. WHat floors are more fun/social??

    Larry77 replied to ER1010's topic in General Nursing

    Yikes you maybe aren't understanding what most of us are talking about here. I would NEVER sit down and chat when a patient needs something or is falling apart...but I DO love to have fun with my...

  19. No More Demerol?

    Larry77 replied to General E. Speaking, RN's topic in General Nursing

    We still have Demerol stocked in our pyxis...even as a PCA med!...although I have not seen it used since I've been there. We usually start with MS PCA and switch to Dilaudid if needed (SE's or lack...

  20. WHat floors are more fun/social??

    Larry77 replied to ER1010's topic in General Nursing

    Part of my decision to work the floor I'm on (Surgical) was the people that work there. I had worked in the same hospital as a psych tech also had all my clinicals there in nursing school so I had...

  21. How do you give a painless injection

    Larry77 replied to guzzebear's topic in First Year After Licensure

    2 main components: Distraction and Quick insertion, I always apply pressure away from the actual site either while pinching some tissue or just by holding the body part, also I use a lot of...

  22. Tall scrubs? What about fanny packs?

    Larry77 replied to iLOVEbees's topic in Men in Nursing

    Oh please tell the poor sap! I remember once I was elected to let one of our male nurses know that he needs to wear more deodorant-now that has to be worse than your situation...lol. If it was me I...

  23. lab draws through central lines

    Larry77 replied to morrisonrn's topic in Medical-Surgical

    So the phlebotemist obtained the blood from the central line? That's a big no no in Wash State...has to be an RN (or PA, ARNP, MD of course). If you are looking for sepsis I would think you would...

  24. lab draws through central lines

    Larry77 replied to morrisonrn's topic in Medical-Surgical

    When we do cultures we draw one out of the central and another sample out of a peripheral vein (requires two locations). As far as I know we always discard first 10ml's but possibly not as necessary...

  25. Tall scrubs? What about fanny packs?

    Larry77 replied to iLOVEbees's topic in Men in Nursing

    Be careful with your PDA, especially if you keep it in your pocket. I used to keep mine in my pocket, it fell out onto my chair during report, I came back to get it within ten minutes realizing where...